Page 61 - Virtual Vascular Vol 14
P. 61

Dry Toe Gangrene






                                                                                 Description:

                                                                                 Left big toe is dry, leathery,
                                                                                 mummified



                                                                                 Clear demarcation of dry
                                                                                 gangrene and viable tissue



                                                                                 No erythema/swelling/pain



                                                                                 Dry, hairless skin


                                                                                 Inspection:

                                                                                 Check the toe webs for ulcers
                                                                                 Check the heel for any gan-

                                                                                 grene patch
                                                                                 Groin/leg scars



                                                                                 Palpate:
                                                                                 Color, temperature

                                                                                 Pulses of both lower limbs
                                                                                 Abdomen – ? AAA



                                                                                 Special Tests
                                                                                 Burgers angle



                                                                                 To Complete my exam…

                                                                                 Ankle Brachial Index
                                                                                 Ultrasound of right lower
                                                                                 limb arteries

















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